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Organization

EXECUTIVE HEALTH, LLC

Active
Other names
Apothecary Shop #7
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SEMYON NAROSOV MSPT (PRESIDENT)
(214) 357-8889
Entity
Organization

Contact information

Practice address
6303 FOREST PARK RD STE 255A, DALLAS, TX 75235-5472
(214) 357-8889
(214) 357-8370
Mailing address
19009 PRESTON RD STE 215-106, DALLAS, TX 75252-2496
(972) 702-9310
(972) 458-7111

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
25175
TX

Other

Enumeration date
08/13/2008
Last updated
08/13/2008
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